Consumer Tips \ Inside the Medicine Chest
The Right Over-the-Counter Pain Reliever
In the old days, if you needed an over-the-counter medicine for fever or pain, you had basically one option: aspirin.
Aspirin's still around, but these days it's got some strong competition.
Acetaminophen, which is sold as the brand Tylenol, is effective against fever and minor pain from conditions like headaches and backaches.
But unlike its competitors, it doesn't reduce inflammation. Ibuprofen, sold as Motrin and Advil, is in a class of medications known as non-steroidal anti-inflammatory drugs--or NSAIDs for short.
They work by reducing the levels of chemicals called prostaglandins.
These are responsible for not only pain and fever, but also inflammation. Ibuprofen can be very useful for conditions that involve inflammation - like those swollen joints from arthritis
Or a sprained ankle you might get from playing basketball. But it can irritate the stomach so you'll need to take it with food.
Ibuprofen and other NSAIDs have been linked to a greater risk of heart attacks and strokes, so people who have heart disease or those at risk for it should use extra caution when taking these meds.
Naproxen, which is sold as Aleve, is also an NSAID. It has the same benefits as ibuprofen and can also cause stomach irritation.
But Naproxen tends to be effective longer,
And some research suggests it may be safer than ibuprofen when it comes to cardiovascular risks.
As always, if you have any questions, ask your doctor or pharmacist.
This entry last modified on: January 11, 2012 1:54 PM
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About the Video
What’s the difference between over-the-counter pain relievers such as Advil, Tylenol and Aleve? Our pharmacist offers guidance on how to choose the right one.

The problem with NSAIDS is that anyone with an allergy to aspirin cannot take them. We are left with the extremely mild benefit Tylenol provides and take a risk with damage to our liver with overuse.
If there is something else out there without aspirin that does what Ibuprofen does, please let me know! Tylenol just does not cut pain from arthritis and other similar problems.
Ibuprofen- Motrin etc.
Not good for any person suffering from kidney disease. Tylenol may be better for pain with low side effects./////